Thomas G. Allen M.D. P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD0000015065 Issued in TN

Legal business name

THOMAS G. ALLEN M.D. P.C

Practice address

950 Main St Ste a
Wartburg, TN 37887-4310

Phone

(423) 346-2620

NPI assigned

Sep 13, 2006

Last updated

Mar 22, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas G Allen, M.D.NPI 1417142092

Title

President/M.D.

Phone

(423) 346-2620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas G Allen, MD

  • Family Medicine Physician
  • Wartburg, TN
  • NPI 1417142092
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1154426443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIN ST STE A",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874310",
            "telephone_number": "423-346-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST STE A",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874310",
            "telephone_number": "423-346-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. ALLEN M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/M.D.",
        "authorized_official_telephone_number": "423-346-2620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD0000015065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Steidl
• Jessyca Sterling
• Summit Medical Group, PLLC (Summit Medical Group at Wartburg)
• Valerie Kim Tanner, N.P.
• Sanjay P Thakur, M.D.
• TLC Medical Oxygen & Hospital Equipment Inc (Home Comfort Medical Equip LLC)
• Rose M Tucker
• Isaiah James Turner, PT,DPT
• United Apothecary Inc (Riddle Express Pharmacy)
• Deborah Upchurch Howard, APN

• Primary Care Clinic/Center in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.